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Related Experiment Video

Updated: Jul 14, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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Published on: July 4, 2018

Nurse practitioners' time on nonbillable activities.

Thomas Kippenbrock1, Wen-Juo Lo2, Jan Emory1

  • 1Eleanor Mann School of Nursing, College of Education and Health Professions, University of Arkansas, Fayetteville, AR.

Journal of the American Association of Nurse Practitioners
|August 17, 2018
PubMed
Summary

Nurse practitioners (NPs) spend non-reimbursable time on various activities. This study found significant differences in non-reimbursable time based on practice setting, support staff, and role, impacting healthcare efficiency.

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Published on: February 19, 2021

Area of Science:

  • Health Services Research
  • Nursing Practice Economics
  • Healthcare Policy

Background:

  • Healthcare providers, including nurse practitioners (NPs), engage in non-reimbursable activities during patient care.
  • Understanding these non-billable activities is vital for the financial sustainability of current and future NP practice models.

Purpose of the Study:

  • To explore and compare seven distinct non-billable activities within NP practices across diverse settings.
  • To identify factors influencing the time NPs spend on non-reimbursable tasks.

Main Methods:

  • A descriptive, nonexperimental design was employed.
  • A survey was administered to 509 NPs regarding their daily non-billable activities.
  • Binomial regression analyses and incidence rate ratios were used to analyze relationships between variables and non-billable time.

Main Results:

  • Significant variations in time spent on specific non-billable activities were observed.
  • Factors influencing these variations included workplace setting, the number of support staff, and the NP's primary care provider role.
  • Not all variables examined showed statistical significance.

Conclusions:

  • The findings highlight the impact of practice environment and support structures on NP non-billable time.
  • Addressing non-billable activities is crucial given healthcare reform, reimbursement uncertainties, and the evolving roles of NPs.
  • Understanding non-billable time's effect on efficiency, costs, and value can inform future healthcare reimbursement policies and care delivery models for NPs.